Provider Demographics
NPI:1083803324
Name:MAY, CHARLES M (MD PC)
Entity Type:Individual
Prefix:
First Name:CHARLES
Middle Name:M
Last Name:MAY
Suffix:
Gender:M
Credentials:MD PC
Other - Prefix:
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Mailing Address - Street 1:2520 CHERRY AVE
Mailing Address - Street 2:
Mailing Address - City:BREMERTON
Mailing Address - State:WA
Mailing Address - Zip Code:98310-4229
Mailing Address - Country:US
Mailing Address - Phone:360-779-4444
Mailing Address - Fax:360-697-2514
Practice Address - Street 1:22180 OLYMPIC COLLEGE WAY
Practice Address - Street 2:SUITE 102
Practice Address - City:POULSBO
Practice Address - State:WA
Practice Address - Zip Code:98370
Practice Address - Country:US
Practice Address - Phone:360-779-4444
Practice Address - Fax:360-697-2514
Is Sole Proprietor?:No
Enumeration Date:2007-10-23
Last Update Date:2012-02-13
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
WAMD60263386207RR0500X
OR9251174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology
No174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
OR124917Medicaid
OR124917Medicaid
ORR0000BHFTRMedicare PIN